Registrationfor free access to educational videos

We are committed to offering free melanoma lessons, but we need teachers and student project leaders to complete a one-time registration form. We do not sell or give away the information we collect, but knowing how many schools are using our lessons helps us obtain funding.

We appreciate your taking the time to fill out the form.

* Choose the single response that best describes your role.

* Work Email Address

Must be a vaild email address - you will use this to log in.

* Password

* Confirm Password

Must be at least 6 characters long and contain at least one digit and one letter or symbol.

* Create a Security Question

* Security Response

You'll be asked to provide this response if you forget your password.

* School, District, or Organization

Please use full names for schools, e.g. "Central Middle School" instead of "Central MS" or "Central".

* First Name

* Last Name

* Position

* Position Other Type

* City/Town

* State/Province

Country (if not US)

* Main school or administrative office phone

* I am a

* Faculty Adviser Name

* Have you watched the MEF melanoma teacher-education video previously or attended an MEF teacher workshop?